Question: I have thorasic spine pain. for the past 4 years. lately it has gotten worse. my CBC BMP labs are all normal, I even saw a Chiropracter who did Xrays- and didn't mention much other than my spine is slightly out of line in that area, he even showed me the xrays and didint seem to concerned. when given a massage people have told me I have knots on the left side of my spine. The pain is about where the bra strap is. I am concerned of a spinal tumor/cancer. As right now I have POTS *postural orthostatic tachycardia syndrome* that started in november after a premature birth. I saw a neuromuscular doctor- who is looking into small fiber neuropathy, I mentioned the spine pain and he kind of shugged it off his shoulders. I have had normal CBC BMP labs normal calcium total protien, things of that sort. no abnormal renal function, creatinine, BUN normal, -basically no abnormal labs. I have even had a CK , triponin done because of chest pain. my muscles are more fatigued but they say that is from the POTS, so my question is should I be concerned about the spine pain? it hurts MORE when pushed directly on the spine and it hurts to the left of the spine where the muscles are. I am a nurse, (I lift) and I was a gymnast for 18 years . I am a 26 year old female with no medical hx other than a premature birth. the pain is worse with certain movements, and when forced -(massaged or poked in the area that hurts). I have had also a negetive MRI brain. Negetive CT angio gram negetive colonoscopy and EGD (all done bc of the POTS) many negetive urines.

I do not have a fevor. Nor do I have leg weakness (the neuro muscular doctor did a thorough neurological exam on me) and stated there is no weakness. *I thought weakness was fatigue but I guess not / i get achyness alot in my arm, including my left arm. *dominent arm, at times, but its not a weakness and it doesnt hurt just aches. and the spine pain is way below my shoulders. - having the POTs its hard to differenciate my symptoms compared to other underlying symptoms. But I guess is the neuro-muscular did a full exam *meaning he watched me walk , walk on heels on toes hit me knees for reflexes and my wrists for reflexes looked into my eyes with some kind of light . then he looked at my arm and leg muscles. used some kind of viberating thing on my leg. asked me things like how my swallowing was - he didnt seem concerned about the back pain but didnt look at my back.